UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.
We are committed to introducing innovative approaches, products and services that can improve personal health and promote healthier populations in local communities. Our core capabilities in clinical care resources, information and technology uniquely enable us to meet the evolving needs of a changing health care environment as millions more Americans enter a structured system of health benefits and we help build a stronger, higher quality health system that is sustainable for the long term.
Company :United Health Group
Website : www.unitedhealthgroup.com
Job Role : Claims Associate
Eligibility : Any Graduate
Experience : Freshers
Job Location : Hyderabad
Provide general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims.
Authorize the appropriate payment or refers claims to investigators for further review.
Conduct data entry and re-work; analyzes and identifies trends and provides reports as necessary.
Analyze and identify trends and provide reports as necessary.
Consistently meet established productivity, schedule adherence, and quality standards.
Recognize claims by determining claim type – HCFA, Hospital, UB, and/or RX.
Identify more complicated claims and refer them to Senior Claim Processor or Supervisor.
Calculate other insurance and re-pricing benefits.
Work claims files to ensure the appropriate eligibility and provider records are matched to the claim pdates and maintains claims tracking database.
Production â€“ 12 claims processing per hour with high level of accuracy.
Result-oriented and goal-driven.
Analytical ability: Research skills combined with effective decision-making and superior interpersonal skills.
Strong verbal and written communication skills.
Ability to accept constructive criticism with being coached and growing as a professional.
Critical thinking abilities.
Ability to multitask.
Must be knowledgably in Microsoft office applications.
Excelent typing speed- 30wpm.